痛性肥胖症(AD)是一种皮下组织不常见的疾病,其特征为:多发生于绝经期后妇女,有多发性、对称性、痛性分布的脂肪沉积,可以是播散性的或局限性的,常局限于膝周,因此称为近关节处痛性肥胖症。然也可见于头、颈以外的任何部位,疼痛程度差异很大。无有效的治疗方法。作者报道1例暂时性应用高剂量皮质激素,出现AD症状,减少激素后症状缓解,提示在此病例中有一个因果关系。患者女性,67岁,1989年8月起先后有腹泻、腹部不适、疲乏及下肢麻木、肿胀、肌痛。用L-色氨酸3个月后发现嗜酸性筋膜炎的体征,并得到病理证实。 Hypertrophic obesity (AD) is an uncommon subcutaneous disease characterized by multiple post-menopausal women with multiple, symmetrical, and painfully distributed fat deposits that may be disseminated or Limitations, often limited to the knee, so called near joint pain-induced obesity. However, it can also be seen in any part of the head, neck, pain levels vary widely. No effective treatment. The authors report that 1 case of temporary high-dose corticosteroids, AD symptoms, reduce post-hormonal symptoms, suggesting that there is a causal relationship in this case. Patient Female, age 67, has had diarrhea, abdominal discomfort, fatigue and numbness, swelling and myalgia since August 1989. Signs of eosinophilic fasciitis were found after 3 months with L-tryptophan and were confirmed by pathology.